Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Heather Ogle Johnson, MEDCCCSLP

Individual provider Speech-Language Pathologist · NPI 1063759173

Mrs. Heather Ogle Johnson, MEDCCCSLP is a Speech-Language Pathologist in Fayetteville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2013.

Licensed in
TN
In the registry since
2013

Practice location Address checks out

4081 Thornton Taylor Pkwy
Fayetteville, TN 37334-2674
Phone: (931) 433-9797
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP 0000001845 (TN)

Record details

NPI number1063759173
Entity typeIndividual (Type 1)
GenderFemale
Credentials MEDCCCSLP
Sole proprietorNo
NPI enumeratedJanuary 9, 2013
Last updated in NPPESJanuary 9, 2013

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